Early learning and development Other
Conditions
Interventions
Interventions as of 07/10/2016
Sustained nurse home visiting (SNHV) program compared with usual care.
Intervention group: The MECSH (Miller Early Childhood Sustained Home visiting) program is the fo
nutrition
safety
regulation
attachment and social support
and video feedback and motivational interviewing techniques.
The intervention group will receive at least 25 home visits (actual number of visits determined by need) primarily by the same SNHV progr
Sponsors
Australian Research Alliance of Children & Youth (Australia)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant Australian women, who have sufficient English proficiency to answer questions face-to-face. The inclusion criteria, based on the results of our pilot (RCH HREC 32771, Northern Health HREC P 20/12, Peninsula Health HREC 13-PH-13), are any two of the following 10 risk factors: 1. Current smoking 2. Young pregnancy (<23 years old) 3. No support (emotional, financial, practical) during pregnancy 4. Poor/fair/good general health (versus very good/excellent general health) 5. Anxious mood 6. Not finishing high school 7. Not having a household income 8. A long-term illness 9. Living without another adult, and 10. Never had a job
Exclusion criteria
Exclusion criteria: Current exclusion criteria: Women will be excluded from the trial if: 1. They are enrolled in the Tasmanian Department of Health and Human Services ?C U @ Home? home visiting program 2. Do not comprehend the recruitment invitation (e.g. have an intellectual disability such that they are unable to consent to entering the study, or have insufficient English to complete face-to-face assessments, i.e. require an interpreter) 3. Have no mechanism for contact (landline or mobile telephone, or email address) Removed 07/10/2016: Experience a critical event such as miscarriage, late termination of pregnancy, stillbirth and neonatal death Removed 27/07/2016: They are enrolled in the Victorian Department of Human Services ?Cradle to Kinder? research program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objectives of this study are to evaluate, at child age 2 years old, the impact of a SNHV program offered to Australian mothers, on: 1. Parent care: the parent?s ability to provide a consistent, regular and supportive environment for their child-promoting child regulation 1.1Nutrition: e.g. consistent meal times, nutritious food 1.2Sleep: regular bedtimes and bed routines 1.3Safety: home safety 2. Parent responsivity: the parent?s ability to tune in to their child'?s needs and to respond appropriately; and 3. Home environment: building a strong home learning environment through structured developmental promotion activities focusing on language. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives of this study are to evaluate, across child age 6 weeks to 2 years, the impact of a SNHV program offered to Australian mothers on: 1. Maternal: Pregnancy outcomes, Quality of Life, Mental health, Parent wellbeing, General Health, Parenting self-efficacy, and Health service use 2. Child: General health and functioning 3. Sibling: Mental health/behaviour Removed 07/10/2016 4. Nurse: Ability to effectively engage with parents and Use and knowledge of evidence-based clinical strategies. | — |
Countries
Australia
Outcome results
None listed